Age, hormonal imbalances and stress are normally the culprits that cause cystic breakouts, Instead of Salicylic and BZP use a mild gel cleanser with some lactic acid and spot treat with a bentonite clay based mask leaving it on the spots overnight to help dry up the blemishes consider supporting this by taking digestive enzymes and probiotics to help keep acidity levels down, Laser Acne treatments,high-frequency and or LED blue light will help clear them up as well.View Thread